MISS Regina Keddell, LCSW-R

NPI #1053588103 in Elmira, New York

Provider Information

NPI Number: 1053588103
Entity Type: Individual
Name: MISS Regina Keddell, LCSW-R
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW-R
Enumeration Date: May 8, 2008
Last Updated: May 8, 2008

Practice Location

Address: 407 W WATER ST
City: Elmira
State: New York
ZIP Code: 14905-2521
Phone: (607) 734-0980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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